Individual
MRS. CHRISTINE ROSE POCIOPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2434 SHADY OAK DRIVE, GREEN BAY, WI 54304-1644
(920) 494-1390
Mailing address
2434 SHADY OAK DRIVE, GREEN BAY, WI 54304-1644
(920) 494-1390
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
17954-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35069600
—
WI
Enumeration date
11/04/2008
Last updated
11/04/2008
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